Complaint Investigation Report

435202428-1-4-2024-26-AS-KHOS-CZAHZG-20240108053820

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

07/22/2021 and conducted by Evaluator Grace Donato

COMPLAINT CONTROL NUMBER: 26-AS-20210722153920

On 12/27/2023, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit to deliver findings for the above allegation. LPA met with Caregive Elizabeth Espique and explained the purpose of today's visit.

Regarding the allegation that the facility has pests, the reporting party (RP) stated that the facility is infested with beetles, roaches, and bed bugs.

During the investigation, LPA Yatfai Ng, was able to obtain photos of different bite marks on residents from bugs. While touring the facility, it was observed that the cupboards in the kitchen had dead bed bugs and live flies and roaches. LPA also interviewed residents. Two out of two residents mentioned that there were bed bugs sometimes. Staff helped spray the room, but the bed bugs kept returning. Exterminators came but the bed bugs still come back. A staff member (S1) confirmed that there were pests in the facility.

Licensee has been addressing issues with regards to pest infestations. Any report from residents, an exterminator will be scheduled to visit immediately.

Based on interviews and record reviews the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. Report is reviewes and a copy of this report and the Appeal Rights are provided.